Supervision & Workforce
Manya Merodoulaki, Tony Ryan, Steve Ariss

This study addresses the absence of published research on clinical supervision in stroke care. It is timely in light of the evidence about poor quality of care afforded to very vulnerable patients (Francis report, 2013) and various pieces of evidence that patients' satisfaction with services they received is positively associated with staff satisfaction with their working conditions (Aiken at al, 2012; Boorman report, 2009).
Background The literature used in this study is mainly from research that examined the effect of introducing clinical supervision in services for older people (residential care, hospital wards, etc.), which points to the lack of provision of clinical supervision prior to those studies and occasionally to staff reluctance to engage with professional development activities. 

The study comprises of interviews to explore what meaning clinical supervision has for nurses of all grades and a questionnaire to find out about how (and whether) clinical supervision is provided in stroke care services. The participants are qualified nurses from a range of stroke services (acute, rehab) and across the nursing hierarchy, from newly qualified to service managers and leads. 

(Potential) Impact 
In some of the participating services, merely discussing the topic has resulted in increased awareness and in thinking about how to implement clinical supervision in services where the level of patient dependence is high, nurses are extremely busy, and services are often short-staffed.